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Showing results for "pediatrics".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41637/psn-pdf
    February 20, 2013 - Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. February 20, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 15, 2012. (Updated February 20, 2013) https://psnet.ahrq.gov/issue/codeine-us…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41888/psn-pdf
    December 12, 2012 - ACOG Committee Opinion #546: tracking and reminder systems. December 12, 2012 Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems. Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0. https://psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45153/psn-pdf
    May 18, 2016 - Structuring feedback and debriefing to achieve mastery learning goals. May 18, 2016 Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. https://psnet.ahrq.gov/issue/structuring-feedback-an…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - Technology, Education and Safety. November 13, 2024 Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. https://psnet.ahrq.gov/issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73380/psn-pdf
    June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36688/psn-pdf
    May 27, 2011 - Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. May 27, 2011 Vardi A; Efrati O; Levin I; Matok I; Rubinstein M; Paret G; Barzilay Z. https://psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-or…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61055/psn-pdf
    October 21, 2020 - How administrative burdens can harm health. October 21, 2020 Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health The crossover of health equity concepts to patient safety has emerged as a consideration for improvement. Thi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41897/psn-pdf
    December 05, 2012 - Diagnostic errors with inserted tubes, lines and catheters in children. December 5, 2012 Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7. https://psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42370/psn-pdf
    June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42304/psn-pdf
    November 21, 2016 - Strategies for improving family engagement during family-centered rounds. November 21, 2016 Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. https://psnet.ahrq.gov/issue/strategies-improving-family-engage…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38201/psn-pdf
    May 21, 2009 - Drug dosing error with drops – severe clinical course of codeine intoxication in twins. May 21, 2009 Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:10.1007/s00431-008-0842-7. https://ps…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41641/psn-pdf
    August 29, 2012 - Patient safety and quality improvement: an overview of QI. August 29, 2012 Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev. 2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi This c…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35413/psn-pdf
    September 11, 2009 - Lessons learned: basic evidence-based advice for preventing medication errors in children. September 11, 2009 Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37080/psn-pdf
    October 03, 2011 - Pharmacists' perceptions of computerized prescriber- order-entry systems. October 3, 2011 Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber- order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32. https://psnet.ahrq.gov/issue/pharmacists-perceptions-co…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…

  18. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. | PSNet

    psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
    April 20, 2022 - Study Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. Citation Text: Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis…

  19. Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
    March 02, 2011 - Review Classic Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Citation Text: Houghton C, Meskell P, Delaney H, et al. …

  20. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
    March 10, 2021 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. Citation Text: Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…
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